传染病监测系统症状监测模块构建设计研究  

Study on symptom monitoring module construction and design of infectious disease surveillance system

作　　者：陈崇德 高星[1] 王岩 胡红濮 CHEN Chongde;GAO Xing;WANG Yan;HU Hongpu(Health Information Management Research Office,Institute of Medical Information,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing100020,China)

机构地区：[1]北京协和医学院中国医学科学院医学信息研究所卫生信息管理研究室,北京100020

出　　处：《中国医药导报》2022年第15期179-182,196,共5页China Medical Herald

基　　金：世界卫生组织双年度合作项目(GJ2-2021-WHOSO-202743728)。

摘　　要：传染病作为人类的重要威胁之一存在已久,其防治关系重大。但目前我国传染病直报系统对新发传染病的预警能力并不全面,仍需升级与完善。本研究在充分进行文献研究后以根据症状监测原理建立的传染病症状赋值矩阵为核心,构建以信息输入与人机交互部分、症状识别与语义标准化部分、依据患者症状的疾病判断矩阵、输出及后续决策与处置部分四部分组成的,包含症状语义标准化、根据症状进行疾病鉴别、流行病学数据收集、信息自动报送与综合智慧判断功能的传染病监测系统症状监测模块模型。模型可模拟专家临床诊疗判断,依据患者症状针对相似疾病进行辅助鉴别诊断,从而强化基层卫生人员对传染病识别概率,将传染病识别环节的布置深度更下沉至全民健康覆盖网底,以此提高传染病监测反应系统效率。Infectious diseases have been one of the most important threats to mankind for a long time,its prevention and control is of great importance.However,the early warning ability of the direct reporting system of infectious diseases in China is not comprehensive at present,and it still needs to be upgraded and improved.In this study,based on the literature review,taking the symptom assignment matrix of infectious diseases established according to the principle of symptom monitoring as the core,a symptom monitoring module model of infectious disease surveillance system is constructed,which is composed of four parts of information input and human-computer interaction,symptom recognition and semantic standardization,disease judgment matrix based on patients’symptoms,and output and subsequent decision-making and disposal,including the functions of symptom semantic standardization,disease identification according to symptoms,epidemiological data collection,automatic information reporting and comprehensive intelligent judgment.The model can simulate the expert clinical diagnosis and treatment judgment,and perform auxiliary differential diagnosis for similar diseases according to the symptoms of patients,so as to strengthen the probability of infectious disease identification by grass-roots health personnel,and further reduce the layout depth of infectious disease identification to the bottom of the national health coverage network,so as to improve the efficiency of infectious disease monitoring and response system.

关 键 词：卫生信息化 公共卫生监测 症状监测 系统设计 

分 类 号：R824.2[医药卫生—临床医学]